NPI | 1396338463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8703) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR C8703) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-10-04 |