NPI | 1619447885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3832) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-11-30 |
Last Update Date | 2025-08-14 |