NPI | 1639352578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6803) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 6803) |
261QM0801X (Licence: NC 6803) | |
Enumeration Date | 2007-12-13 |
Last Update Date | 2008-09-03 |