NPI | 1003975202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3166) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC6588) |
101YM0800X Counselor, Mental Health (Licence: WA LH60582281) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-12-06 |