NPI | 1316375850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 9387) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC9387) |
Enumeration Date | 2013-10-18 |
Last Update Date | 2023-09-05 |