NPI | 1487085940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1162) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 68 0081632) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2019-04-08 |