NPI | 1124594577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9079) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9079) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2024-07-24 |