NPI | 1801189816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8711) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8711) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2018-10-09 |