NPI | 1508511056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013483) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704014608) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2024-05-26 |