NPI | 1427706894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC2255) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC2255) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2024-09-03 |