NPI | 1174067789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 668) |
101YP2500X Counselor, Professional (Licence: GA 012731) | |
Enumeration Date | 2016-12-15 |
Last Update Date | 2025-09-16 |