NPI | 1659390516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3746) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16164) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-09 |