NPI | 1811318058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013176) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013176) |
Enumeration Date | 2013-12-13 |
Last Update Date | 2022-03-04 |