NPI | 1992364798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC10603) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP8797) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2022-09-28 |