NPI | 1003160946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 13260) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13260) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2012-10-30 |
Last Update Date | 2023-03-16 |