NPI | 1134561954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23914) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 1134561954) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2025-04-15 |