NPI | 1053403212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1168) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 5076) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2016-01-19 |