NPI | 1922776343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8204) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-8204) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-09-02 |