NPI | 1457609711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134545) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60305075) |
101YM0800X Counselor, Mental Health (Licence: ID LPC5081) | |
101YM0800X Counselor, Mental Health (Licence: AK PCOP745) | |
101YM0800X Counselor, Mental Health (Licence: HI 400) | |
101YP2500X Counselor, Professional (Licence: CO LPC.0016222) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-04-29 |