NPI | 1629170790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0119911) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0069062) |
101YP2500X Counselor, Professional (Licence: NM 0098101) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2009-05-24 |