NPI | 1295323335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12627) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC12627) |
101YS0200X Counselor, School (Licence: MD 316171) | |
Enumeration Date | 2021-01-05 |
Last Update Date | 2022-11-23 |