NPI | 1215361357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1651) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1000) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2013-08-26 |