NPI | 1679044531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003415A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39003415A) |
101YP2500X Counselor, Professional (Licence: IN 39003415A) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |