NPI | 1306623400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18124) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MPC) |
101YP1600X Counselor, Pastoral (Licence: FL ORDAINED) | |
Enumeration Date | 2023-09-12 |
Last Update Date | 2023-09-16 |