NPI | 1578006326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8812) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 010606324) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2024-04-02 |