NPI | 1033749965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015580) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.011821) |
Enumeration Date | 2020-01-20 |
Last Update Date | 2023-11-27 |