NPI | 1710001821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 20064030RN1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |