NPI | 1467898221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6864) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S10076) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2024-11-20 |