NPI | 1235441809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10548) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC012398) |
101YM0800X Counselor, Mental Health (Licence: FL IMH7183) | |
Enumeration Date | 2010-07-12 |
Last Update Date | 2021-09-27 |