NPI | 1821467309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7252) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14917) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2018-06-19 |