NPI | 1609231034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 4978) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2177) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2022-02-13 |