NPI | 1356180947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-10522) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-10522) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-05-23 |