NPI | 1104223379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006175) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2662) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2015-08-17 |