NPI | 1083176473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFT0001966) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0013795) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2022-05-20 |