NPI | 1639751803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 011210) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-04-26 |