NPI | 1982242004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8261-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4547-226) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2024-07-23 |