NPI | 1699700336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4310) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 1149) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2010-10-06 |