NPI | 1215087184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8981) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL MH 8981) |
101YP2500X Counselor, Professional (Licence: MD LC 3928) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2011-04-15 |