NPI | 1265891568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6720) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC6720) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2023-12-15 |