NPI | 1255503868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 4486) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 4486) |
101YM0800X Counselor Mental Health (Licence: CO 4486) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2021-11-22 |