NPI | 1639329634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 16449) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4921) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2024-05-31 |