NPI | 1265081186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9752) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC9752) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2022-03-29 |