NPI | 1104456482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 549) |
Enumeration Date | 2020-01-25 |
Last Update Date | 2025-01-30 |