NPI | 1811200975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21526) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001277) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2024-12-08 |