NPI | 1073614368 |
---|---|
Other Name | KAREN LYNNE PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1605) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 126) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |