NPI | 1306503081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0018204) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018036) |
Enumeration Date | 2021-11-17 |
Last Update Date | 2022-06-08 |