NPI | 1205143385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3009) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2015-05-04 |