NPI | 1124306683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3932) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1951) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |