NPI | 1477924488 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009120) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-10-16 |
Last Update Date | 2018-03-27 |