NPI | 1124158886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7332) |
Additional Taxonomies | 103TC1900X Psychologist Counseling |
Enumeration Date | 2007-03-06 |
Last Update Date | 2018-03-17 |