NPI | 1285956342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10145) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E8029) |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-17 |