NPI | 1679949713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6616-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180009800) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2022-09-15 |