NPI | 1629298096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1356) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1365) |
101YM0800X Counselor Mental Health (Licence: NE 1786) | |
101YM0800X Counselor Mental Health (Licence: NE 8275) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-12-08 |