NPI | 1548738222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11104) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15539) |
Enumeration Date | 2018-11-11 |
Last Update Date | 2025-06-06 |