NPI | 1417399619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012707) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0013473) |
101YP2500X Counselor, Professional (Licence: CO 0012707) | |
Enumeration Date | 2013-07-29 |
Last Update Date | 2022-12-31 |