NPI | 1760822555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5060) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-06-26 |
Last Update Date | 2019-05-21 |