NPI | 1629467311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0014948) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY LMHC014767) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-01-18 |
Last Update Date | 2025-05-21 |