NPI | 1174942478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS SA708302) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: VA BCPC0614) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |