NPI | 1710391164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 01917) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 072366) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2018-04-17 |