NPI | 1609379023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19630) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16369) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2025-07-07 |