NPI | 1518356310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7362) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATG172) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2017-03-06 |