NPI | 1700496338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 57620) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 44028) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2024-03-08 |