NPI | 1386158111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L12964) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LCSW-1354) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2023-02-15 |