NPI | 1912484072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12770) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12770) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-04-20 |