NPI | 1245270768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD 88025) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2913) |
104100000X Social Worker (Licence: LA 6633) | |
106H00000X Marriage & Family Therapist (Licence: LA 857) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-07-08 |