NPI | 1568612554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7110) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 7110) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2021-10-07 |