NPI | 1417211988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 6325) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC 4919) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2023-12-29 |