NPI | 1376253799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI LCSW-5039) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20459) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2024-10-24 |