NPI | 1952615833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 11184) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD 11184) |
101YM0800X Counselor, Mental Health (Licence: MD 11184) | |
Enumeration Date | 2010-08-03 |
Last Update Date | 2019-08-22 |