NPI | 1356861603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5328) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2521) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2019-12-31 |