NPI | 1194098558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3991) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1037- LIMHP) |
101YM0800X Counselor, Mental Health (Licence: MN cc00067) | |
101YP2500X Counselor, Professional (Licence: NE 1974) | |
Enumeration Date | 2012-02-16 |
Last Update Date | 2012-12-27 |