NPI | 1902299761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1732) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017498) |
101YP2500X Counselor, Professional (Licence: NE 2323) | |
Enumeration Date | 2015-03-17 |
Last Update Date | 2024-08-23 |