NPI | 1518434265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016795) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-10-31 |
Last Update Date | 2021-02-04 |