NPI | 1760811384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5711) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC5711) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2013-11-04 |