NPI | 1558865527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7216) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 10372) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2018-03-22 |