NPI | 1821417478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15062) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004309) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2022-07-21 |