NPI | 1033577960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C3779) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C3779) |
Enumeration Date | 2016-02-06 |
Last Update Date | 2016-02-06 |