NPI | 1205290657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLPC9612) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9612) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-10-31 |