NPI | 1124188834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2002027409) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2002027409) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2024-03-06 |