NPI | 1568180446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 11378-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5350-226) |
Enumeration Date | 2022-08-17 |
Last Update Date | 2024-10-27 |