NPI | 1427566801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18304) |
101YM0800X Counselor, Mental Health (Licence: CA 6128) | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2024-05-14 |