NPI | 1174278931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61406923) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012137) |
Enumeration Date | 2022-02-19 |
Last Update Date | 2023-05-09 |