NPI | 1770132219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.00015671) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015671) |
Enumeration Date | 2019-09-07 |
Last Update Date | 2019-09-09 |