NPI | 1629617303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0011126) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE AC-0000284) |
Enumeration Date | 2019-12-30 |
Last Update Date | 2022-09-07 |