NPI | 1982943569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20744) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0021797) |
Enumeration Date | 2013-02-02 |
Last Update Date | 2025-08-21 |