NPI | 1013354125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA 006987) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 006987) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |