NPI | 1972686830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.002298) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3477) |
101YP2500X Counselor, Professional (Licence: NE 1746) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2014-10-27 |