NPI | 1356424956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002651) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH0002651) |
101YP1600X Counselor, Pastoral (Licence: FL MH2651) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2012-03-09 |