NPI | 1659651784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6181) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005650) |
Enumeration Date | 2011-08-20 |
Last Update Date | 2024-06-27 |