NPI | 1508379223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 3120) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018008) |
Enumeration Date | 2017-11-16 |
Last Update Date | 2023-11-08 |