NPI | 1174810931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2596) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2596) |
106H00000X Marriage & Family Therapist (Licence: LA 746) | |
Enumeration Date | 2011-06-30 |
Last Update Date | 2011-06-30 |