NPI | 1407315658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL LMHC21569) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17917) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-04-20 |