NPI | 1255885059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0180941) |
373H00000X Day Training/Habilitation Specialist (Licence: NM 0180941) | |
Enumeration Date | 2016-08-09 |
Last Update Date | 2023-07-11 |