NPI | 1487001160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6029-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6029-125) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2024-07-24 |