NPI | 1801382130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 8442) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC9554) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2019-08-26 |