NPI | 1982160883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010956) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004851) |
Enumeration Date | 2019-02-15 |
Last Update Date | 2021-08-22 |