NPI | 1255955241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14973) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A14973) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-09-08 |