NPI | 1871846352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2818) |
Enumeration Date | 2012-10-20 |
Last Update Date | 2012-10-20 |