NPI | 1730763814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009914) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 16193) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2021-05-05 |