NPI | 1578793550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0161941) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0142481) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2022-07-28 |