NPI | 1396186524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPCC4041) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC4041) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2021-01-21 |