NPI | 1285390005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
174400000X Specialist | |
Enumeration Date | 2021-11-16 |
Last Update Date | 2023-01-03 |