NPI | 1326580382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2483) |
101YM0800X Counselor, Mental Health (Licence: MA 11694-MH-CC) | |
Enumeration Date | 2016-11-08 |
Last Update Date | 2022-11-11 |