NPI | 1669169942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013908) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008526) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-05-19 |