NPI | 1639247059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 574) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3116) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2013-01-12 |