NPI | 1427386408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8372) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17520) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2024-06-26 |