NPI | 1962133355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15472) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC15472) |
101YM0800X Counselor, Mental Health (Licence: NY 014138) | |
Enumeration Date | 2022-06-17 |
Last Update Date | 2024-08-30 |