NPI | 1033483508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006586) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 6401006586) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2013-06-18 |