NPI | 1669047106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19177) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MH19177) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2021-05-26 |