NPI | 1487417580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP14768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 91481) |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-01 |