NPI | 1134252539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0006105) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6105) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2016-04-05 |