NPI | 1053586206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00169) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1750) |
101YM0800X Counselor, Mental Health (Licence: NE 376) | |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |