NPI | 1770880692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007468) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10344) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2014-08-08 |