NPI | 1548504699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012709) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-11-15 |
Last Update Date | 2019-07-11 |