NPI | 1174943526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11645) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 18886) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2025-03-07 |