NPI | 1952737900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8405) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60381319) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2024-04-24 |