NPI | 1184741001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MA LMHC5808) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5808) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-03-24 |
Last Update Date | 2016-08-18 |