NPI | 1760778658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1772) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 1772) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2013-12-04 |