NPI | 1326729476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC015413) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009077) |
101Y00000X Counselor (Licence: GA APC009077) | |
Enumeration Date | 2023-07-31 |
Last Update Date | 2025-01-13 |