NPI | 1336863786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23573) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NV CP6068-R) |
Enumeration Date | 2022-09-29 |
Last Update Date | 2025-05-26 |