NPI | 1922459924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014679) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-06-30 |
Last Update Date | 2023-04-21 |