NPI | 1972289122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10482) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 10482) |
101YP2500X Counselor, Professional (Licence: NC 10482) | |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-06-23 |