NPI | 1376999136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14573) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH 7990) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2023-04-26 |