NPI | 1710410683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14895) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL T3359) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |