NPI | 1780416784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0022232) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0022232) |
Enumeration Date | 2024-08-17 |
Last Update Date | 2024-11-14 |