NPI | 1548801475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7850) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7850) |
101YM0800X Counselor, Mental Health (Licence: SC 6635) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-09-03 |