NPI | 1215169255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS C-2140) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C2140) |
Enumeration Date | 2009-08-09 |
Last Update Date | 2009-12-16 |