NPI | 1245767227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2022) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2022) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2024-04-02 |