NPI | 1417678251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021040958) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021040958) |
Enumeration Date | 2022-09-09 |
Last Update Date | 2023-10-11 |