NPI | 1285215905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2020043292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013022739) |
Enumeration Date | 2021-04-15 |
Last Update Date | 2023-02-02 |