NPI | 1306230925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4485) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3502) |
Enumeration Date | 2015-03-20 |
Last Update Date | 2021-05-06 |