NPI | 1083330567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10056-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10056-125) |
Enumeration Date | 2022-10-17 |
Last Update Date | 2023-08-28 |