NPI | 1871041095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12506) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12506) |
101YM0800X Counselor, Mental Health (Licence: NC A12506) | |
Enumeration Date | 2016-09-16 |
Last Update Date | 2023-12-14 |