NPI | 1447726971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11124) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7799) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2022-06-21 |