NPI | 1588279897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD R162669) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD R16266) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1005434) | |
Enumeration Date | 2020-09-14 |
Last Update Date | 2024-07-01 |