NPI | 1629379342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4909) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-11-11 |
Last Update Date | 2019-03-22 |