NPI | 1124833058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: NE 3747P1801X) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3747P1801X) |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-02-10 |