NPI | 1265663132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0008020) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005667) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2011-03-30 |