NPI | 1073712501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6186) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2053) |
Enumeration Date | 2007-07-14 |
Last Update Date | 2007-07-14 |