NPI | 1013344076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1544) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8266) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2019-04-26 |