NPI | 1053969360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2607) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2607) |
101YM0800X Counselor, Mental Health (Licence: NE 11977) | |
101YM0800X Counselor, Mental Health (Licence: IA 100111) | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2023-11-21 |