NPI | 1174683064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4898) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-12-11 |
Last Update Date | 2016-05-17 |