NPI | 1417586959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018621) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: CO LPP.0001568) | |
Enumeration Date | 2020-04-06 |
Last Update Date | 2023-10-26 |