NPI | 1578645131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22322) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 4784) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-06-26 |