NPI | 1376288696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23285) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH23285) |
225XM0800X Occupational Therapist, Mental Health (Licence: FL MH23285) | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2024-11-17 |