NPI | 1144317942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC0000097) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC002368) |
101YP2500X Counselor, Professional (Licence: DE PC 0000097) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |