NPI | 1578052486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8316) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC8316) |
101Y00000X Counselor (Licence: DC PRC14889) | |
101YM0800X Counselor, Mental Health (Licence: DC PRC14889) | |
101YP2500X Counselor, Professional (Licence: MD LC8316) | |
101YP2500X Counselor, Professional (Licence: DC PRC14889) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2019-06-11 |