NPI | 1144435678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000832A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000589A) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-08 |