NPI | 1639519085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7864) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6452) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-30 |
Last Update Date | 2017-06-14 |