NPI | 1699407858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23683) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-06-27 |
Last Update Date | 2025-02-20 |