NPI | 1235699752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14736) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14736) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-09-12 |