NPI | 1013911775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4578) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4578) |
101Y00000X Counselor (Licence: LA 4578) | |
Enumeration Date | 2005-06-10 |
Last Update Date | 2016-10-10 |