NPI | 1306438882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018070) |
Enumeration Date | 2021-02-06 |
Last Update Date | 2024-09-24 |