NPI | 1578066775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL AL4531) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003260A) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2024-11-25 |