NPI | 1003120767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-08-04 |
Last Update Date | 2014-06-23 |