NPI | 1356094882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH18918) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18918) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-08 |