NPI | 1255799151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008010-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0199861) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2020-07-28 |