NPI | 1407334634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14088) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14088) |
101YP2500X Counselor, Professional (Licence: NC A14088) | |
Enumeration Date | 2018-07-31 |
Last Update Date | 2021-03-17 |