NPI | 1558873778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13154) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 13154) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2024-01-16 |