NPI | 1083829824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MA 812) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 1938) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |