NPI | 1013207299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2178) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2178) |
101YS0200X Counselor, School (Licence: FL MT2178) | |
Enumeration Date | 2011-04-09 |
Last Update Date | 2013-09-23 |