NPI | 1679737530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001969) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-07-10 |
Last Update Date | 2012-04-05 |