NPI | 1639722176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH17050) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH17050) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-10-24 |