NPI | 1023591849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10619) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC10619) |
101YM0800X Counselor, Mental Health (Licence: MD LC10619) | |
Enumeration Date | 2018-09-07 |
Last Update Date | 2023-08-26 |