NPI | 1811376353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A11694) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A11694) |
101YP2500X Counselor, Professional (Licence: NC A11694) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2017-02-17 |