NPI | 1639669278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5214-R) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-698) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2023-12-16 |