NPI | 1659750180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC0004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6173) |
101YM0800X Counselor, Mental Health (Licence: DC 336557) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-06-01 |