NPI | 1366107229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018862) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-11-05 |
Last Update Date | 2023-12-13 |