NPI | 1003154634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC CO14896) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW94934) |
Enumeration Date | 2013-01-16 |
Last Update Date | 2024-12-16 |