NPI | 1417435496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010751) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: VA 0701010751) | |
Enumeration Date | 2018-08-01 |
Last Update Date | 2023-11-28 |