NPI | 1205130101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4971-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1006-226) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2013-01-03 |