NPI | 1417592619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YS0200X Counselor, School |
101YM0800X Counselor, Mental Health (Licence: LA 6824) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-12-13 |