NPI | 1992234579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 13080) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-06-07 |
Last Update Date | 2024-01-10 |