NPI | 1114491362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2650) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS p-0193) |
Enumeration Date | 2019-01-21 |
Last Update Date | 2022-02-09 |