NPI | 1376528174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPCMH 2066) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LMFT1063) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2024-01-25 |