NPI | 1386851665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0083811) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 22063) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |