NPI | 1053864660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6573) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6573) |
101YM0800X Counselor, Mental Health (Licence: FL MH 13801) | |
101YM0800X Counselor, Mental Health (Licence: LA 6573) | |
Enumeration Date | 2016-07-31 |
Last Update Date | 2018-12-07 |