NPI | 1518190636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC600) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC600) |
101YM0800X Counselor, Mental Health (Licence: ME CC600) | |
Enumeration Date | 2009-08-25 |
Last Update Date | 2011-10-19 |