NPI | 1881287241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8287) |
Enumeration Date | 2021-02-17 |
Last Update Date | 2024-03-22 |