NPI | 1578079125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015628) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015429) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2021-08-23 |