NPI | 1336659804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 086000298RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 86000298RN) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |