NPI | 1871972497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012342) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0012342) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2015-05-28 |