NPI | 1720459712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013341) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2717-226) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2024-08-23 |