NPI | 1487672069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013471) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013471) |
101YM0800X Counselor, Mental Health (Licence: FL MH7022) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-11-21 |