NPI | 1992489983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401223821) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401223821) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2025-05-02 |