NPI | 1255940581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
222Q00000X Developmental Therapist | |
Enumeration Date | 2020-07-22 |
Last Update Date | 2023-08-31 |