NPI | 1053199182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011181) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC-012433) |
101YM0800X Counselor, Mental Health (Licence: NJ 37PC00935900) | |
Enumeration Date | 2023-09-19 |
Last Update Date | 2023-09-19 |