NPI | 1114320769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-000684) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000684) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2014-09-26 |