NPI | 1144524158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23330) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8385) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2024-04-25 |