NPI | 1053064055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8805) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006799) |
101YP2500X Counselor, Professional (Licence: GA LPC013592) | |
Enumeration Date | 2022-01-31 |
Last Update Date | 2023-10-17 |