NPI | 1699311662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13687) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9401) |
101YM0800X Counselor, Mental Health (Licence: UT 14205401-6004) | |
Enumeration Date | 2019-11-25 |
Last Update Date | 2025-09-11 |