NPI | 1184295669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 275068) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 261631) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-06-07 |