NPI | 1558657478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4371) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9403) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2019-06-11 |