NPI | 1790301612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH13261) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |