NPI | 1780956920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2145) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002145) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2019-07-10 |