NPI | 1982139424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7082) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-21739) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2022-09-08 |