NPI | 1811320732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0005607) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5607) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2024-08-21 |