NPI | 1679621429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 350) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1660) |
101YP2500X Counselor Professional (Licence: NE 1006) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2011-03-25 |