NPI | 1356532394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9105) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301009907) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2013-09-25 |