NPI | 1861950412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.001699) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016999) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-03-02 |
Last Update Date | 2025-01-22 |