NPI | 1851084917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC141138) |
101YM0800X Counselor, Mental Health (Licence: VA 0701012495) | |
Enumeration Date | 2023-06-02 |
Last Update Date | 2024-06-21 |