NPI | 1235720269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011384) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16477) |
Enumeration Date | 2021-02-02 |
Last Update Date | 2025-06-06 |