NPI | 1164317855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL Mh25907) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 1437674) |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-06-11 |