NPI | 1104210848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |