NPI | 1184818940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 63102) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 00048057) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2012-11-10 |