NPI | 1467083774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904012492) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-05-16 |