NPI | 1306470141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC13761) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC13761) |
101YP2500X Counselor Professional (Licence: MD LC13761) | |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-03-28 |