NPI | 1871982587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008894) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 912324655) |
Enumeration Date | 2015-01-19 |
Last Update Date | 2020-03-23 |