NPI | 1275907933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 009696) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009696) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2025-01-05 |