NPI | 1548596224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2358) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13844) |
Enumeration Date | 2009-10-30 |
Last Update Date | 2009-10-30 |