NPI | 1952586919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0012490) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6428) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2017-02-03 |