NPI | 1043783947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10940) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LPG9083) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2023-07-01 |