NPI | 1376190173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL5078) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC6219) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2022-02-02 |