NPI | 1598918112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA MH3953) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 44805) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |