NPI | 1306540505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14765) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11188) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2024-01-30 |