NPI | 1891317392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0019765) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC21856) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2024-06-25 |