NPI | 1255830527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC A12899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12899) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2018-12-15 |