NPI | 1326090044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20345) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8617) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-08-13 |