NPI | 1447317417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 882) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2011-12-10 |