NPI | 1225594203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-04-11 |