NPI | 1760923411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2012011830) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012011830) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2021-11-05 |