NPI | 1457922643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21109) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2024-04-25 |