NPI | 1619244233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000572) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004602-1) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |