NPI | 1124149729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680000379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000379) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2025-02-13 |