NPI | 1346799954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017383) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0105779) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2021-10-20 |