NPI | 1245530898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7908780-6009) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPC.8882PCS) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-10-29 |
Last Update Date | 2023-06-22 |