NPI | 1366873721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013545) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-1604) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2013-12-10 |