NPI | 1518603604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018331) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017625) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2024-07-31 |