NPI | 1154566701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2774) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1113) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2008-12-11 |