NPI | 1336540384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR C4503) |
101YM0800X Counselor, Mental Health (Licence: OR C4503) | |
Enumeration Date | 2014-09-09 |
Last Update Date | 2023-06-08 |