NPI | 1730856980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014894) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0014894) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2021-08-25 |