NPI | 1770870099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6039) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5681-R) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2024-11-20 |