NPI | 1235525353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4164) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1710361) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2020-02-11 |