NPI | 1235358367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LCSW64549) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2018-05-02 |