NPI | 1417003856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006840) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401006840) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-09-24 |