NPI | 1992333959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12338) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10262) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2022-10-27 |