NPI | 1396084521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL3874) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3874) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2018-05-03 |