NPI | 1801186960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: FL 00114821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11846) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2014-10-20 |