NPI | 1235791237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 0101998) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7053) |
101YM0800X Counselor, Mental Health (Licence: GA 0101998) | |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-09-11 |