NPI | 1497448385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8102) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22296) |
Enumeration Date | 2023-05-29 |
Last Update Date | 2025-04-15 |