NPI | 1801251293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A11876) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A11876) |
101YP2500X Counselor, Professional (Licence: NC A11876) | |
Enumeration Date | 2015-12-29 |
Last Update Date | 2015-12-29 |