NPI | 1871159558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0208191) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM CSA0202601) |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-11-21 |