NPI | 1942827829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC12718) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP10504) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2022-07-13 |