NPI | 1942762406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17275) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MH17275) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2025-02-21 |