NPI | 1023644598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16793) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016135) |
Enumeration Date | 2020-03-17 |
Last Update Date | 2022-03-07 |