NPI | 1285054072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3594) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2066) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-10-27 |