NPI | 1679944359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2046) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10664) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2020-02-12 |