NPI | 1043489628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00619) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42182) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2019-09-25 |