NPI | 1174761639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LCO869) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCO869) |
101YM0800X Counselor, Mental Health (Licence: MD LCO869) | |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School (Licence: MD LCO869) | |
106H00000X Marriage & Family Therapist (Licence: MD LCO869) | |
Enumeration Date | 2009-01-21 |
Last Update Date | 2010-04-09 |