NPI | 1366560245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC-3639) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LMFT-665) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-08 |