NPI | 1528572336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A13018) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 706441) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |