NPI | 1235441247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4264) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP3435) |
101YS0200X Counselor, School (Licence: MD 06-8068) | |
Enumeration Date | 2010-07-07 |
Last Update Date | 2012-01-21 |