NPI | 1982971453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005351-1) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY P79744) |
101YP2500X Counselor, Professional (Licence: CT 002232) | |
Enumeration Date | 2011-11-28 |
Last Update Date | 2012-12-27 |