NPI | 1619174620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1694) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3673) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2022-11-18 |