NPI | 1861094716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP5082) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP5082) |
Enumeration Date | 2020-11-14 |
Last Update Date | 2020-11-14 |