NPI | 1174354443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15409) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19988) |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |