NPI | 1083486286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05153) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6706) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2024-09-09 |