NPI | 1235301540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011530) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1078) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2015-01-03 |