NPI | 1609687219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH26602) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CRC112478) |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-01-15 |