NPI | 1356702492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A10760) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10760) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2019-11-12 |