NPI | 1316205784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 11156) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH11156) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-05-24 |