NPI | 1144695206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6249) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6249) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2021-08-25 |