NPI | 1922061795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH1314) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 1314) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2024-07-22 |