NPI | 1588162606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 004150) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009965) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2023-05-19 |