NPI | 1053380329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2676) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 233) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2007-07-08 |