NPI | 1841469707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004656-01) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004308) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2024-12-04 |