NPI | 1053465922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LIMHP 437) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 1427) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2011-12-13 |