NPI | 1134856511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7752) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR R7752) |
101YP2500X Counselor, Professional (Licence: OR R7752) | |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-08-04 |