NPI | 1548727308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11377) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8016) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2023-03-03 |