NPI | 1750952461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223629) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401019497) |
Enumeration Date | 2021-07-03 |
Last Update Date | 2023-07-12 |