NPI | 1932701562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20303) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0020485) |
Enumeration Date | 2020-11-09 |
Last Update Date | 2024-06-04 |