NPI | 1518510403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0134918) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 097.0134537) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2022-11-17 |