NPI | 1215245303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2905) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 2905) |
106H00000X Marriage & Family Therapist (Licence: LA 856) | |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |