NPI | 1659068666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22905) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20062) |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-10-20 |