NPI | 1568114866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013020) |
101YM0800X Counselor, Mental Health (Licence: FL 5840) | |
101YP2500X Counselor, Professional (Licence: SC 9364) | |
Enumeration Date | 2022-01-19 |
Last Update Date | 2025-04-10 |