NPI | 1235409483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4725-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4725-125) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2023-10-26 |