NPI | 1972011997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7355) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-01-11 |
Last Update Date | 2022-01-17 |