NPI | 1760887236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1504036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 3245-00000-x) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2021-08-20 |