NPI | 1508203431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14131) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH14131) |
Enumeration Date | 2013-06-01 |
Last Update Date | 2018-04-24 |