NPI | 1386059194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ISW14401) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW21018) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2025-07-07 |