NPI | 1003431594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0001009) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC012774) |
101YP2500X Counselor Professional (Licence: DE PC-0001009) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-02-08 |