NPI | 1518564772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 162348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-01 |
Last Update Date | 2022-10-26 |