NPI | 1407628035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022284) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022284) |
Enumeration Date | 2023-10-26 |
Last Update Date | 2025-06-04 |