NPI | 1588315907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16864) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: FL MH16864) | |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |