NPI | 1255477014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC LPC2439) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC LMFT) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |