NPI | 1104428663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0016315) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC0016315) |
101YM0800X Counselor, Mental Health (Licence: TX 18398) | |
101YP2500X Counselor, Professional (Licence: TX 18398) | |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-10 |