NPI | 1568083723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019058) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0018147) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2023-01-23 |