NPI | 1033567177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC17606) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17606) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2024-11-25 |