NPI | 1477110567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9617) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional | |
101Y00000X Counselor | |
Enumeration Date | 2019-05-23 |
Last Update Date | 2025-09-15 |