NPI | 1063898039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-4584) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT SWP-LMFT-LIC-4709) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2015-07-31 |