NPI | 1578030029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14387) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14387) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2022-04-28 |