NPI | 1073178992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7344) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6755) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2021-07-26 |