NPI | 1720129265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 92-5E) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 92-05 LPE-I) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2008-03-24 |