NPI | 1629426754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13506) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: NC A13506) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2021-04-02 |