NPI | 1376229682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21497) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS934) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-22 |