NPI | 1821601378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018813) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018813) |
Enumeration Date | 2020-08-25 |
Last Update Date | 2024-11-19 |