NPI | 1477088185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004181A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007834) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2024-02-07 |