NPI | 1548761620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 13297) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13297) |
101YP2500X Counselor, Professional (Licence: NC A) | |
Enumeration Date | 2018-02-23 |
Last Update Date | 2021-11-19 |