NPI | 1588411961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-CRM-3292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 110582) |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-06-03 |