NPI | 1306457932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4219) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 4219) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2022-01-14 |