NPI | 1750560603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5572) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2125) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2021-01-06 |