NPI | 1972137362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7453) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-02-25 |