NPI | 1871846220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0017320) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6452) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2021-10-21 |