NPI | 1861950412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016555) |
Enumeration Date | 2019-03-02 |
Last Update Date | 2020-12-03 |