NPI | 1255604633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10182) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 10182) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2022-02-15 |