NPI | 1942766308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016950) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016950) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2021-06-21 |