NPI | 1134390339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR LPC C1976) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 18959) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2008-03-14 |