NPI | 1417300153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013225) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0013225) |
101YM0800X Counselor, Mental Health (Licence: CO 0013225) | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2021-08-18 |