NPI | 1407465024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019224) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2020-07-29 |
Last Update Date | 2023-05-03 |