NPI | 1871219154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019312) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018329) |
Enumeration Date | 2022-10-18 |
Last Update Date | 2024-01-08 |