NPI | 1013274901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC 4943) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA LPC 4943) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2022-09-16 |