NPI | 1659472900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2839) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00917) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2014-07-08 |