NPI | 1477823383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1602021) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9288) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2016-08-15 |