NPI | 1023254091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0134861) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0118461) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2015-03-25 |