NPI | 1134894629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13671) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC 200001189) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2024-05-20 |