NPI | 1770028979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015019406) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015019406) |
Enumeration Date | 2016-12-23 |
Last Update Date | 2017-07-07 |