NPI | 1265712327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10631) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL 10631) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2012-05-16 |