NPI | 1659610137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4911) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: MD LC4911) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2024-01-25 |