NPI | 1275188120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016569) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014935) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2020-10-21 |