NPI | 1033453683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2021007624) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: MA LMHC10001271) | |
101Y00000X Counselor (Licence: FL MH13273) | |
101Y00000X Counselor (Licence: KS LCPC2370) | |
Enumeration Date | 2012-11-20 |
Last Update Date | 2024-08-26 |