NPI | 1366605636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC13857) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2101) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |