NPI | 1174701031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9290) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH9290) |
Enumeration Date | 2008-02-03 |
Last Update Date | 2022-07-01 |