NPI | 1154338994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0001615) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH0001615) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2010-11-10 |