NPI | 1992276810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6574) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 6574) |
101YP1600X Counselor Pastoral (Licence: SC 6574) | |
101YP2500X Counselor Professional (Licence: SC 6574) | |
251S00000X Community/Behavioral Health (Licence: SC 6574) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |