NPI | 1619347184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015565) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015565) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2021-02-17 |