NPI | 1780033894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25493) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2080) |
101YS0200X Counselor, School (Licence: MS 265853) | |
Enumeration Date | 2016-06-09 |
Last Update Date | 2025-06-01 |