NPI | 1003192345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18732) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 008571) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2025-09-24 |