NPI | 1558628057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3424) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3424) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2018-08-25 |