NPI | 1235511502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3775) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: AL C2505A) | |
Enumeration Date | 2015-06-23 |
Last Update Date | 2024-07-15 |