NPI | 1255086476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YS0200X Counselor School | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-02-16 |