NPI | 1780112268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1876) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10750-125) |
101YM0800X Counselor, Mental Health (Licence: AZ 22744) | |
101YM0800X Counselor, Mental Health (Licence: PA PC017516) | |
101YP2500X Counselor, Professional (Licence: MS 1876) | |
101YP2500X Counselor, Professional (Licence: PA PC017516) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2024-10-18 |