NPI | 1770720245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001579) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004001) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2012-03-09 |