NPI | 1982842365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000744) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6082) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2013-02-15 |