NPI | 1780757575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2005039223) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2005039223) |
101YP2500X Counselor, Professional (Licence: MO 2005039223) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-09 |