NPI | 1629565361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13613) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13613) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2021-10-19 |