NPI | 1376122754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13688) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP11267) |
101YM0800X Counselor, Mental Health (Licence: MD LC13688) | |
101YM0800X Counselor, Mental Health (Licence: MD LGP11267) | |
101YP2500X Counselor, Professional (Licence: MD LGP11267) | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2023-04-29 |