NPI | 1386423465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013830) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21771) |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-27 |