NPI | 1780338251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-13163) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007837) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |