NPI | 1023755980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10259810-6004) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 10259810-6109) |
Enumeration Date | 2022-05-12 |
Last Update Date | 2024-03-11 |