NPI | 1801352380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11658796-6004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-31477) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2020-07-07 |