NPI | 1457932832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC13216) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 3900569A) |
101YM0800X Counselor, Mental Health (Licence: IL 180004152) | |
Enumeration Date | 2021-04-18 |
Last Update Date | 2024-09-17 |