NPI | 1083623227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT LPC 000923) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT LMFT 000491) |
101YS0200X Counselor, School | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-26 |