NPI | 1023413325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1709352) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR P1709352) |
101YM0800X Counselor, Mental Health (Licence: AR A1408116) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2024-08-07 |