NPI | 1679265334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10242) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR R7464) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2025-08-19 |