NPI | 1114238656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25855) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6418-125) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2025-07-11 |