NPI | 1669873865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2661) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019013521) |
Enumeration Date | 2014-09-08 |
Last Update Date | 2025-05-20 |