NPI | 1043952690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 175T00000X Peer Specialist |
101YM0800X Counselor, Mental Health (Licence: KS 04525) | |
Enumeration Date | 2022-04-12 |
Last Update Date | 2024-06-10 |