NPI | 1265041438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15894) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15894) |
Enumeration Date | 2020-07-23 |
Last Update Date | 2022-09-28 |