NPI | 1629444518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh21972) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC008312) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2023-04-28 |