NPI | 1154483600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 743) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 623) |
101YM0800X Counselor, Mental Health (Licence: NE 1024) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2013-04-05 |