NPI | 1164101218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP13892) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP13892) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-10-25 |