NPI | 1417153198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14538) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00189) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2021-11-23 |