NPI | 1174651855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001018056) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2001018056) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2024-08-21 |