NPI | 1740673649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01931) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 077116) |
Enumeration Date | 2015-03-17 |
Last Update Date | 2019-01-30 |