NPI | 1407220973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3857) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC6643) |
Enumeration Date | 2015-11-21 |
Last Update Date | 2021-08-16 |