NPI | 1659532422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6386) |
Additional Taxonomies | 174400000X Specialist (Licence: FL 1-02-0809) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-24 |