NPI | 1043758261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 15095) |
101YM0800X Counselor, Mental Health (Licence: FL IMH16923) | |
101YM0800X Counselor, Mental Health (Licence: CO 17731) | |
Enumeration Date | 2017-02-08 |
Last Update Date | 2022-04-25 |