NPI | 1962879072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-37760) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2015-08-24 |
Last Update Date | 2022-05-24 |