NPI | 1811311699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3655) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3655) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2014-02-13 |