NPI | 1932565363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014925) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014925) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2024-08-14 |