NPI | 1104596253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014188) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007675) |
Enumeration Date | 2021-09-19 |
Last Update Date | 2024-01-18 |