NPI | 1326392226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16032) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY p82995) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2021-04-27 |