NPI | 1114573029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15040) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15040) |
Enumeration Date | 2019-08-15 |
Last Update Date | 2024-08-10 |