NPI | 1144914243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP8314) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8314) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-12-01 |