NPI | 1083996052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH11945) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-8472) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2016-11-28 |