NPI | 1043432917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001064) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 004939) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2021-09-08 |