NPI | 1336491414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000597) |
Additional Taxonomies | 101Y00000X Counselor (Licence: DE PC-0000597) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |