NPI | 1790404721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14005) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704015005) |
101YM0800X Counselor, Mental Health (Licence: MD LC14005) | |
101YP2500X Counselor, Professional (Licence: VA 0704015005) | |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-05-22 |