NPI | 1417550062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22649) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20394) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2023-08-16 |