NPI | 1639577463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2388) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2388) |
101YP2500X Counselor, Professional (Licence: MO 2006012555) | |
Enumeration Date | 2014-12-10 |
Last Update Date | 2023-12-11 |