NPI | 1457862716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16103) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13691) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2018-06-26 |