NPI | 1225720717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 8331513) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: ID LPC-9479) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2025-06-26 |