NPI | 1740723816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 080320) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1239) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2016-11-22 |