NPI | 1235751090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016137) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0016137) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0016137) | |
102L00000X Psychoanalyst (Licence: CO LPC.0016137) | |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-14 |