NPI | 1255761953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 15790) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-15790) | |
Enumeration Date | 2013-11-15 |
Last Update Date | 2018-09-27 |