NPI | 1124376470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5046) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-08-26 |