NPI | 1407473986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3007) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3007) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2024-07-18 |