NPI | 1962859652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7816) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7816) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2025-05-22 |