NPI | 1730627456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 16392) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 12561) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2018-10-17 |