NPI | 1518010511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4886) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 163) |
101YM0800X Counselor, Mental Health (Licence: HI 110) | |
Enumeration Date | 2007-01-21 |
Last Update Date | 2007-07-08 |