NPI | 1083403059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH27649) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R11688) |
Enumeration Date | 2025-05-05 |
Last Update Date | 2025-09-03 |