NPI | 1982919544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13469) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14185) |
101YP2500X Counselor, Professional (Licence: VA 0701006175) | |
Enumeration Date | 2010-08-08 |
Last Update Date | 2024-03-12 |