NPI | 1770925240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LCPC5052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LCPC5052) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2015-10-26 |