NPI | 1770853590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5385) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60250393) |
101YM0800X Counselor, Mental Health (Licence: NC 8661) | |
Enumeration Date | 2012-01-10 |
Last Update Date | 2021-11-30 |