NPI | 1689057325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2203) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10547) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2020-11-13 |