NPI | 1790457133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019989.) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2024-08-08 |