NPI | 1275187387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001270) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGPC10802) |
101YP2500X Counselor, Professional (Licence: DC LGPC00603) | |
Enumeration Date | 2019-07-26 |
Last Update Date | 2021-11-16 |