NPI | 1295189579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12428) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2018-12-31 |