NPI | 1689845430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9369) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0007976) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |