NPI | 1275782260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 104) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001999) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2015-12-15 |