NPI | 1346737871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15023) |
101YM0800X Counselor, Mental Health (Licence: VA 0701008923) | |
101YM0800X Counselor, Mental Health (Licence: MD LC11594) | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2022-12-13 |