NPI | 1861007601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19688) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2023-02-08 |