NPI | 1285908053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6420) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01257) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2021-08-27 |