NPI | 1033426887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3661) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 8306) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2019-06-13 |