NPI | 1801223011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180008741) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 5177-125) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2014-04-02 |