NPI | 1225724404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 075057) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IA 118884) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |