NPI | 1437369451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1538) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC-3522) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2016-05-30 |