NPI | 1083250559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12274) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH12274) |
Enumeration Date | 2019-11-20 |
Last Update Date | 2023-03-22 |