NPI | 1366794810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-20418) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: SD LPC-20418) | |
Enumeration Date | 2012-10-09 |
Last Update Date | 2024-05-03 |