NPI | 1861779993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15209) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 15209) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2022-04-21 |