NPI | 1316334527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5627) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5627) |
Enumeration Date | 2015-04-26 |
Last Update Date | 2020-06-09 |