NPI | 1548707961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60707802) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 321463) |
101YP2500X Counselor, Professional (Licence: WA LH60707802) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2025-02-19 |