NPI | 1528512159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2710) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK LPC06865) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2024-08-07 |