NPI | 1669075214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA 536307) |
101YM0800X Counselor, Mental Health | |
251B00000X Case Management | |
Enumeration Date | 2020-11-17 |
Last Update Date | 2020-12-22 |