NPI | 1396240388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 16947) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CPC-3073) |
1744R1102X Specialist, Research Study | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2020-12-19 |