NPI | 1285884221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5746) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 10233) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2019-02-12 |