NPI | 1295863918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001180-1) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC 531) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2007-07-08 |