NPI | 1225372204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-4699) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NCC-275357) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |