NPI | 1679318604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LPC03793) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021050553) |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |