NPI | 1437795143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3210A) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2020-12-01 |