NPI | 1093459679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC15001) |
Additional Taxonomies | 103T00000X Psychologist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-21 |
Last Update Date | 2025-07-14 |