NPI | 1275675274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13968) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180003448) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2016-11-04 |