NPI | 1457133746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC007874) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA APC007874) |
Enumeration Date | 2023-10-20 |
Last Update Date | 2023-10-20 |