NPI | 1609432491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16122) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8452) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2023-08-25 |