NPI | 1902233497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MA S09873554) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA S09873554) |
103T00000X Psychologist (Licence: MA S09873554) | |
104100000X Social Worker (Licence: MA S09873554) | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2013-09-30 |