NPI | 1396281531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12700) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12700) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2020-01-23 |