NPI | 1194917146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC - 3007) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT - 3072) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-14 |