NPI | 1942513619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4843) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9875) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2024-07-18 |