NPI | 1518663103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH22548) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH22548) |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-02-09 |