NPI | 1780904904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8398) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2014-06-10 |