NPI | 1396387098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10478) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 10478) |
Enumeration Date | 2019-10-14 |
Last Update Date | 2023-07-25 |