NPI | 1306012299 |
---|---|
Former Name | CHARITY STAPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8755) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2184) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |