NPI | 1295977023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12182) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
106H00000X Marriage & Family Therapist | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2016-10-10 |