NPI | 1457868481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10509) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008398) |
Enumeration Date | 2017-12-28 |
Last Update Date | 2021-11-17 |