NPI | 1225391089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4719) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH4719) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2012-06-18 |