NPI | 1487061495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20737) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
Enumeration Date | 2014-07-22 |
Last Update Date | 2025-04-22 |