NPI | 1083368310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5174) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 5174) |
Enumeration Date | 2022-02-06 |
Last Update Date | 2022-10-07 |