NPI | 1588987754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30787) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC7097) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2022-10-22 |