NPI | 1700423092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 002648) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401008079) |
Enumeration Date | 2019-12-05 |
Last Update Date | 2019-12-05 |