NPI | 1841551363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13129) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
222Q00000X Developmental Therapist | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2016-06-21 |