NPI | 1104482561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13752) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6698) |
Enumeration Date | 2019-05-11 |
Last Update Date | 2023-09-09 |