NPI | 1881343028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008040) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC9407) |
101YM0800X Counselor, Mental Health (Licence: DE PC-0011244) | |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-03-22 |