NPI | 1205587748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL ISW11829) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2022-01-17 |
Last Update Date | 2022-01-17 |