NPI | 1568717726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11657) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8786) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2023-05-26 |