NPI | 1578804423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1921) |
Additional Taxonomies | 251S00000X (Licence: MA 1921) |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |