NPI | 1790844611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1604) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3231) |
101YP2500X Counselor, Professional (Licence: NE 1671) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-03-06 |