NPI | 1154595759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-360) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: ID LCPC-360) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2024-01-17 |