NPI | 1992130033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20329) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC7193) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2019-02-11 |