NPI | 1528321700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002414A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005257) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2023-03-01 |