NPI | 1982411773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24787) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0022195) |
Enumeration Date | 2024-12-16 |
Last Update Date | 2025-07-09 |