NPI | 1205001310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2564) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 255) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |