NPI | 1932221421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD 2317) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD 2317) |
101YM0800X Counselor Mental Health (Licence: MD 2317) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2016-07-05 |