NPI | 1720454937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 8389) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health (Licence: CA 2613) | |
101YP2500X Counselor Professional (Licence: CA 2613) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-08-02 |