NPI | 1003574104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14627) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001432) |
101YM0800X Counselor, Mental Health (Licence: SC 9670) | |
Enumeration Date | 2021-12-06 |
Last Update Date | 2024-04-23 |