NPI | 1548882020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701009081) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor (Licence: VA 0701009081) | |
101YP2500X Counselor, Professional (Licence: VA 0701009081) | |
Enumeration Date | 2020-05-07 |
Last Update Date | 2024-11-21 |