NPI | 1255973491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15484) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701008399) |
101YM0800X Counselor, Mental Health (Licence: MD LC7761) | |
Enumeration Date | 2019-10-09 |
Last Update Date | 2024-10-03 |