NPI | 1245615749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC4937) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC4937) |
101YM0800X Counselor Mental Health (Licence: MD LC4937) | |
Enumeration Date | 2015-07-25 |
Last Update Date | 2015-07-25 |