NPI | 1023126802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2128) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 192) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2018-03-17 |