NPI | 1275049231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC20001241) |
101YM0800X Counselor, Mental Health (Licence: MD LC8125) | |
101YP2500X Counselor, Professional (Licence: VA 0701007497) | |
Enumeration Date | 2017-12-28 |
Last Update Date | 2022-01-21 |