NPI | 1215097506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH2281) |
Enumeration Date | 2006-12-09 |
Last Update Date | 2008-04-28 |