NPI | 1508947250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2808) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2500) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-12-15 |