NPI | 1285226647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL NCC1475381) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2025-09-05 |