NPI | 1346001476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704016179) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-07-23 |