NPI | 1619485141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8415) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR R4676) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2022-08-31 |