NPI | 1013729276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002626) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LMHC10002626) |
Enumeration Date | 2025-01-24 |
Last Update Date | 2025-01-24 |