NPI | 1013591650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016317) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0017673) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-03-05 |