NPI | 1730315722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2245) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 0783) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2009-06-03 |