NPI | 1285159343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC07280) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: OK 7280) | |
Enumeration Date | 2017-08-10 |
Last Update Date | 2024-04-04 |