NPI | 1073892725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014207) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: WY PPC-616) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: WY LPC-1334) | |
101YP2500X Counselor, Professional (Licence: NM CCMH0214791) | |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-08-07 |