NPI | 1578802682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8398) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8398) |
101YM0800X Counselor, Mental Health (Licence: NC 8398) | |
Enumeration Date | 2013-02-08 |
Last Update Date | 2013-02-08 |