NPI | 1609212356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 120525) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-05-21 |
Last Update Date | 2021-02-28 |