NPI | 1235303710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1434) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3008) |
106H00000X Marriage & Family Therapist (Licence: LA 885) | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2020-01-08 |