NPI | 1902585961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24167) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26276) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2025-09-02 |