NPI | 1558560045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2645) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6901) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2011-02-22 |