NPI | 1598129082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC7074) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P99603) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2023-10-06 |