NPI | 1881369148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61541801) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013533) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2024-12-02 |