NPI | 1245001718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3169) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 1006) |
101YM0800X Counselor, Mental Health (Licence: LA 3169) | |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-18 |