NPI | 1407621907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC05182) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009343) |
Enumeration Date | 2023-11-15 |
Last Update Date | 2025-02-14 |