NPI | 1376965293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1784) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0013065) |
Enumeration Date | 2014-01-12 |
Last Update Date | 2021-10-04 |