NPI | 1336928506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010093) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010093) |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-09-26 |