NPI | 1598014656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1653-00) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO NLC.0105926) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2021-10-07 |