NPI | 1881112506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10724) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 5063) |
101YP2500X Counselor, Professional (Licence: NE 2001) | |
Enumeration Date | 2017-09-01 |
Last Update Date | 2023-02-07 |