NPI | 1831565290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 078821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149019131) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2023-05-16 |