NPI | 1134671639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 13) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2048) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2016-10-31 |