NPI | 1528433166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013820) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006930-1) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2023-02-17 |