NPI | 1154034445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24434) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-12-13 |