NPI | 1194147298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC06627) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC06627) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2024-12-31 |