NPI | 1427536200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134285) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: NY 011577) | |
Enumeration Date | 2018-08-02 |
Last Update Date | 2023-05-15 |