NPI | 1043336159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4546) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 4546) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-11-10 |