NPI | 1548730781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 006448) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA apc006448) |
Enumeration Date | 2018-11-30 |
Last Update Date | 2019-11-27 |