NPI | 1336855212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26013) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23592) |
Enumeration Date | 2023-01-25 |
Last Update Date | 2025-06-25 |