NPI | 1962074708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4447) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001912A) |
101YP2500X Counselor, Professional (Licence: GA LPC012331) | |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-09-20 |