NPI | 1184831596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT2379) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT563) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-01-17 |