NPI | 1164319646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT BBH-PCLC-LIC-64740) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-06-18 |