NPI | 1356128631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021988) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019962) |
Enumeration Date | 2023-09-11 |
Last Update Date | 2025-03-01 |