NPI | 1225703085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC12384) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-08-13 |
Last Update Date | 2022-02-22 |