NPI | 1467082065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014242) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9343) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2024-02-26 |