NPI | 1053563098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 002061) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-10-22 |
Last Update Date | 2022-10-11 |