NPI | 1629125240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC0015) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC0015) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2007-07-08 |