NPI | 1720028996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010280) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4381) |
101YM0800X Counselor, Mental Health (Licence: NC S4381) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-06-16 |