NPI | 1356093363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8331252) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8523) |
101YP2500X Counselor, Professional (Licence: ID LPC-8523) | |
Enumeration Date | 2022-01-20 |
Last Update Date | 2025-07-10 |