NPI | 1639302813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7696) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2009-09-03 |
Last Update Date | 2013-04-26 |