NPI | 1215671227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200002111) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001307) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-09-12 |