NPI | 1588277537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88001221A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.014899) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-12-17 |