NPI | 1548568264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14179) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10662) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2021-05-14 |