NPI | 1518247279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9219) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.007125) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2022-07-21 |