NPI | 1003873985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M9804022) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR 9301002) |
103TS0200X Psychologist, School (Licence: AR 78-13E) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2007-07-08 |