NPI | 1194568006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020543) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0020543) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0020543) | |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |