NPI | 1508355934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012554) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006350) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2022-08-22 |