NPI | 1366994063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5161) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5161) |
101Y00000X Counselor (Licence: LA 5161) | |
Enumeration Date | 2016-10-28 |
Last Update Date | 2023-08-04 |