NPI | 1528360096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2814) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-12-03 |
Last Update Date | 2012-06-05 |