NPI | 1104223155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN-255881-L) |
Enumeration Date | 2014-11-19 |
Last Update Date | 2014-11-19 |