NPI | 1750056396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007050) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2023-02-16 |