NPI | 1770964892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013000288) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-06-15 |
Last Update Date | 2023-05-18 |