NPI | 1982133088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC9923) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2019-12-18 |