NPI | 1467059428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CTB-2024-0294) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0219701) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2024-08-09 |