NPI | 1124795711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401224426) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022329) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2025-08-06 |