NPI | 1740767284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8075) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6929) |
101YP2500X Counselor, Professional (Licence: ID LPC6929) | |
101YP2500X Counselor, Professional (Licence: ID 6929) | |
Enumeration Date | 2018-07-27 |
Last Update Date | 2024-04-13 |