NPI | 1356530463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1602) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1602) |
101YM0800X Counselor, Mental Health (Licence: CO LPC-2476) | |
Enumeration Date | 2007-10-15 |
Last Update Date | 2020-12-14 |