NPI | 1477868826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5153-125) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 5153-125) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2021-03-26 |