NPI | 1629642772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC012970) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2023-03-28 |