NPI | 1912103821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7829) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7829) |
101YP2500X Counselor, Professional (Licence: NC 7829) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2014-06-23 |